Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 57109-20 | WI |
N | 111NI0900X | Internist | 57109-20 | WI |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 15369 | RI |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | S1740 | TX |
N | 207RC0000X | Internist - Cardiovascular Disease | 15369 | RI |
NPI | 1629210273 |
---|---|
Provider Name | Rayan Yousefzai |
First Address | Houston, TX 77030-2719 |
Second Address | Houston, TX 77030-2719 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2009 |
Last Update Date | 09/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
S95886518 | DRIVERS LICENSE (01) | MA |
Y21272079165 | DRIVERS LICENSE (01) | IL |